Individual
LATOSHA JACKSON MOLLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
902 S VIENNA ST, RUSTON, LA 71270-5830
(318) 551-4311
(318) 551-4355
Mailing address
135 DAWSON ST, DUBACH, LA 71235-3201
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
207211
LA
Other
Enumeration date
07/23/2019
Last updated
03/02/2026
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